Home Based Crisis Team: initial steps towards recovery in the community Dr. Sinead O’Brien. Consultant Psychiatrist,  Home...
Today..... <ul><li>Vision for Change </li></ul><ul><li>City North Sector </li></ul><ul><li>Development of HBCT-City North....
A Vision for Change <ul><li>Person centred </li></ul><ul><li>Recovery orientated </li></ul><ul><li>Holistic – all aspects ...
A Vision for Change <ul><li>Community-based – provide services in communities where people live, reduce hospital admission...
Mission Statement <ul><li>To provide a home-based crisis assessment and multi-disciplinary treatment and intervention serv...
Cork City North Sector <ul><li>Population: 53,000 </li></ul><ul><li>2 Sector Multidisciplinary Teams. </li></ul><ul><li>CN...
[Previous speakers that morning ...] <ul><li>Kevin Heffernan  </li></ul><ul><li>Programme Specialist (West Midlands Region...
Cork City North Sector. <ul><li>Sector includes: </li></ul><ul><li>Knocknaheeny </li></ul><ul><li>Gurranabraher </li></ul>...
RAPID <ul><li>“ Revitalising Areas through Planning, Investment and Development”. </li></ul>
RAPID aims to...... <ul><li>Increase the investment made by Government departments and state agencies in the 46 communitie...
Rapid Areas in Cork <ul><li>Knocknaheeny/Hollyhill/Churchfield  </li></ul><ul><li>Blackpool /The Glen/Mayfield  </li></ul>...
Priorities of RAPID.... <ul><li>family support,  </li></ul><ul><li>physical environment, </li></ul><ul><li>health,  </li><...
The Haase and Pratschke Index <ul><li>uses 3 dimensions of affluence/disadvantage to comprise their index.   </li></ul><ul...
“ Extremely disadvantaged” <ul><li>Farranferris,  </li></ul><ul><li>Knocknaheeny,  </li></ul><ul><li>Fair Hill B </li></ul...
HBCT <ul><li>Set up in 2007 </li></ul><ul><li>Funding for 1 additional Consultant </li></ul><ul><li>CD and Heads of Discip...
North Lee MHS <ul><li>Majority  (>50%) of ALL admissions to Acute Unit were from City North Sectors </li></ul>
HBCT <ul><li>1 Consultant Psychiatrist </li></ul><ul><li>1 Registrar </li></ul><ul><li>2 CMHN </li></ul><ul><li>1 social w...
Evolution of HBCT...April 2009 <ul><li>1 Consultant Psychiatrist </li></ul><ul><li>1 Registrar </li></ul><ul><li>2 CMHN </...
My Vision... SB Evidence Based Practice
My Vision... SB Evidence Based Practice Optimising Physical & Psychological Health
My Vision... SB Evidence Based Practice Optimising Physical & Psychological Health Intensive Case Management
My Vision... SB Evidence Based Practice Optimising Physical & Psychological Health Intensive Case Management Health Econom...
My Vision... SB Evidence Based Practice Optimising Physical & Psychological Health Intensive Case Management Health Econom...
My Vision... SB Evidence Based Practice Optimising Physical & Psychological Health Intensive Case Management Research Heal...
My Vision... SB Evidence Based Practice Audit Optimising Physical & Psychological Health Intensive Case Management Researc...
<ul><li>... continued in part 2 .... </li></ul>
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Home-Based Crisis Team (Dr Sinead O'Brien - part 1 of 3)

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Dr Sinead O'Brien's talk on "Home Based Crisis Team: initial steps towards recovery in the community" at the conference "Home Based Recovery and Wellness in Mental Health" - jointly hosted by University College Cork and the Centre for Recovery and Social Inclusion, Cork on the 9th June 2010. Part 1 of 3 segments

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Home-Based Crisis Team (Dr Sinead O'Brien - part 1 of 3)

  1. 1. Home Based Crisis Team: initial steps towards recovery in the community Dr. Sinead O’Brien. Consultant Psychiatrist, Home Based Crisis Team. North Lee Mental Health Services.
  2. 2. Today..... <ul><li>Vision for Change </li></ul><ul><li>City North Sector </li></ul><ul><li>Development of HBCT-City North. </li></ul><ul><li>Audit of case-load </li></ul><ul><li>Future Directions </li></ul>
  3. 3. A Vision for Change <ul><li>Person centred </li></ul><ul><li>Recovery orientated </li></ul><ul><li>Holistic – all aspects of mental health: biological (e.g. medication), psychological (e.g. “talking therapies”) and social (e.g. housing, employment, education/training). </li></ul>
  4. 4. A Vision for Change <ul><li>Community-based – provide services in communities where people live, reduce hospital admissions, more home-based treatments and outreach services. </li></ul><ul><li>Multi-disciplinary </li></ul><ul><li>Population Based </li></ul>
  5. 5. Mission Statement <ul><li>To provide a home-based crisis assessment and multi-disciplinary treatment and intervention service for individuals presenting with acute psychiatric illness in City North sector. We endeavour to respect each individual’s rights and values. </li></ul>
  6. 6. Cork City North Sector <ul><li>Population: 53,000 </li></ul><ul><li>2 Sector Multidisciplinary Teams. </li></ul><ul><li>CNW: Dr Ruth Collins </li></ul><ul><li>CNE: Dr Nataraj Gojanur </li></ul>
  7. 7. [Previous speakers that morning ...] <ul><li>Kevin Heffernan </li></ul><ul><li>Programme Specialist (West Midlands Regional Development Centre, UK) </li></ul><ul><li>Martin Rogan </li></ul><ul><li>Assistant National Director, Mental Health, HSE </li></ul>
  8. 8. Cork City North Sector. <ul><li>Sector includes: </li></ul><ul><li>Knocknaheeny </li></ul><ul><li>Gurranabraher </li></ul><ul><li>Fairhill </li></ul><ul><li>Blackpool </li></ul><ul><li>Mayfield </li></ul><ul><li>The Glen. </li></ul>
  9. 9. RAPID <ul><li>“ Revitalising Areas through Planning, Investment and Development”. </li></ul>
  10. 10. RAPID aims to...... <ul><li>Increase the investment made by Government departments and state agencies in the 46 communities;   </li></ul><ul><li>Improve the delivery of public services through integration and coordination   </li></ul><ul><li>Enhance the opportunities for communities to participate in the strategic improvement of their areas. </li></ul>
  11. 11. Rapid Areas in Cork <ul><li>Knocknaheeny/Hollyhill/Churchfield </li></ul><ul><li>Blackpool /The Glen/Mayfield </li></ul><ul><li>Fairhill/Gurranabraher/Farranree </li></ul><ul><li>Togher/Mahon </li></ul>
  12. 12. Priorities of RAPID.... <ul><li>family support, </li></ul><ul><li>physical environment, </li></ul><ul><li>health, </li></ul><ul><li>community safety, </li></ul><ul><li>education, </li></ul><ul><li>employment </li></ul><ul><li>training and youth support.   </li></ul>
  13. 13. The Haase and Pratschke Index <ul><li>uses 3 dimensions of affluence/disadvantage to comprise their index.  </li></ul><ul><li>‘ Demographic Profile’, </li></ul><ul><li>‘ Social Class Composition’ </li></ul><ul><li>‘ Labour Market Situation’ </li></ul>
  14. 14. “ Extremely disadvantaged” <ul><li>Farranferris, </li></ul><ul><li>Knocknaheeny, </li></ul><ul><li>Fair Hill B </li></ul><ul><li>9% of National ED rating </li></ul>
  15. 15. HBCT <ul><li>Set up in 2007 </li></ul><ul><li>Funding for 1 additional Consultant </li></ul><ul><li>CD and Heads of Discipline examined need within North Lee MHS </li></ul>
  16. 16. North Lee MHS <ul><li>Majority (>50%) of ALL admissions to Acute Unit were from City North Sectors </li></ul>
  17. 17. HBCT <ul><li>1 Consultant Psychiatrist </li></ul><ul><li>1 Registrar </li></ul><ul><li>2 CMHN </li></ul><ul><li>1 social worker </li></ul><ul><li>0.6 Occupational Therapist </li></ul><ul><li>1 Psychologist </li></ul><ul><li>Clerical Support </li></ul>
  18. 18. Evolution of HBCT...April 2009 <ul><li>1 Consultant Psychiatrist </li></ul><ul><li>1 Registrar </li></ul><ul><li>2 CMHN </li></ul><ul><li>0.6 social worker </li></ul><ul><li>0.6 Occupational Therapist </li></ul><ul><li>Clerical Support </li></ul>
  19. 19. My Vision... SB Evidence Based Practice
  20. 20. My Vision... SB Evidence Based Practice Optimising Physical & Psychological Health
  21. 21. My Vision... SB Evidence Based Practice Optimising Physical & Psychological Health Intensive Case Management
  22. 22. My Vision... SB Evidence Based Practice Optimising Physical & Psychological Health Intensive Case Management Health Economics
  23. 23. My Vision... SB Evidence Based Practice Optimising Physical & Psychological Health Intensive Case Management Health Economics Ethics Autonomy Beneficence Non-Maleficence Justice
  24. 24. My Vision... SB Evidence Based Practice Optimising Physical & Psychological Health Intensive Case Management Research Health Economics Ethics Autonomy Beneficence Non-Maleficence Justice
  25. 25. My Vision... SB Evidence Based Practice Audit Optimising Physical & Psychological Health Intensive Case Management Research Health Economics Ethics Autonomy Beneficence Non-Maleficence Justice Evidence Based Practice
  26. 26. <ul><li>... continued in part 2 .... </li></ul>
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